Individual provider · Type 1 NPI

Kathleen Elizabeth Wandell, PA-S

Physician Assistant · Syracuse, NY

NPI number 1134053572 Active

Practice location

750 E Adams St
Syracuse, NY 13210-1834

Call (315) 464-5540 Map

Mailing address

4378 Georgian Ct Apt A15
Liverpool, NY 13090-3993

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X036630-01 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134053572

Kathleen Elizabeth Wandell, PA-S's National Provider Identifier is 1134053572, issued on Jun 10, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Syracuse, NY. The record was last updated on Sep 25, 2026.